title: Modified Lapidus arthrodesis with plantar plate and compression screw for treatment of hallux valgus with hypermobility of the first ray: a preliminary report.
abstract: BACKGROUND
  TMT-1 arthrodesis is an established method in hallux valgus surgery, but it is technically demanding and typically calls for a period of postoperative immobilization.
  
  
  METHODS
  In this cohort study, initial experience with a plantar plate is described. 58 patients (59 arthrodesis) were included.
  
  
  RESULTS
  The mean duration of protected full weight bearing was 7 weeks. 94.12% patients were satisfied with the results, bony union was achieved in 98.31%. The Foot Function Index improved by 33 to a mean of 8 (p<.001). The postoperative Mayo Clinic Forefoot Score was excellent in 47.04 and good in 47.04%. The mean hallux valgus angle improved by 24.4-13.2° (p<.001). The mean first intermetatarsal angle improved by 11.2-5.2° (p<.001).
  
  
  CONCLUSIONS
  Initial experience with this form of fixation appears to provide suitable stability, allow early-protected weight bearing, with an acceptable level of complications.
authors.affiliation: Food and Hand Division, Department of Orthopedics, Friedrich-Schiller-University Jena, Waldkrankenhaus "Rudolf Elle" GmbH, Klosterlausnitzer Straße 81, D-07607 Eisenberg, Germany. Electronic address: Kajetan.Klos@med.uni-jena.de.
authors.forename: Kajetan
authors.initials: K
authors.lastname: Klos
authors.forename: Christoph H
authors.initials: CH
authors.lastname: Wilde
authors.forename: Antje
authors.initials: A
authors.lastname: Lange
authors.forename: Andreas
authors.initials: A
authors.lastname: Wagner
authors.forename: Florian
authors.initials: F
authors.lastname: Gras
authors.forename: Hristo Kostov
authors.initials: HK
authors.lastname: Skulev
authors.forename: Thomas
authors.initials: T
authors.lastname: Mückley
authors.forename: Paul
authors.initials: P
authors.lastname: Simons
mesh_terms: D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods*; D001860:Bone Plates; D001863:Bone Screws; D015331:Cohort Studies; D005260:Female; D033023:Foot Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011859:Radiography; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery; D055815:Young Adult
keywords: Bunion deformity; Complication; Foot; Instability; Internal fixation; Metatarsal; Surgery